Edwise LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EDWISE LLC

Practice address

132 Falls Ave W
#103
Twin Falls, ID 83301-3359

Phone

(208) 308-2410

Fax

(208) 326-4343

NPI assigned

Jul 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Pamela Dawn Houston-Powell, ED.S

Title

Co-President

Phone

(208) 308-2410

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1811153844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 BUSCH CT",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013476",
            "telephone_number": "208-308-2410",
            "fax_number": "208-326-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FALLS AVE W",
            "address_2": "#103",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013359",
            "telephone_number": "208-308-2410",
            "fax_number": "208-326-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "HOUSTON-POWELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "208-308-2410",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ED.S"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Kay Eaton, LMSW
• Ann Elizabeth Ebener, RPH
• Lisa Edinborough
• Mark James Edlund, MD, PHD
• Charlie Edwards, DPT
• Egbert Chiropractic PA
• Madison Celeste Egeberg, PHARM.D.
• Caroline Whitney Eggerth, LPC 3971961
• Caitlin Elam, BS
• Josie Elam

• Developmentally Disabled Services Day Training Agency in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Developmentally Disabled Services Day Training Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.